Literature DB >> 34978190

Real-Time Monitoring of Biomolecules: Dynamic Response Limits of Affinity-Based Sensors.

Rafiq M Lubken1,2, Arthur M de Jong3,2, Menno W J Prins1,3,2,4.   

Abstract

Sensors for monitoring biomolecular dynamics in biological systems and biotechnological processes in real time, need to accurately and precisely reconstruct concentration-time profiles. This requirement becomes challenging when transport processes and biochemical kinetics are important, as is typically the case for biomarkers at low concentrations. Here, we present a comprehensive methodology to study the concentration-time profiles generated by affinity-based sensors that continuously interact with a biological system of interest. Simulations are performed for sensors with diffusion-based sampling (e.g., a sensor patch on the skin) and advection-based sampling (e.g., a sensor connected to a catheter). The simulations clarify how transport processes and molecular binding kinetics result in concentration gradients and time delays in the sensor system. Using these simulations, measured and true concentration-time profiles of insulin were compared as a function of sensor design parameters. The results lead to guidelines on how biomolecular monitoring sensors can be designed for optimal bioanalytical performance in terms of concentration and time properties.

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Keywords:  affinity kinetics; biomolecules; concentration change; lag time; monitoring; sensing; sensor performance

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Year:  2022        PMID: 34978190      PMCID: PMC8805115          DOI: 10.1021/acssensors.1c02307

Source DB:  PubMed          Journal:  ACS Sens        ISSN: 2379-3694            Impact factor:   7.711


Biological systems and biotechnological processes exhibit time dependencies that are imposed by dynamic changes of constituting biomolecules, such as nutrients, hormones, proteins, and nucleic acids. To study dynamic processes in real time, monitoring sensors that can reveal biomolecular concentration–time profiles are needed, to support fundamental research,[1−7] patient monitoring,[8−14] and closed-loop control applications.[15−22] Such monitoring sensors should be able to reconstruct concentration–time profiles accurately and precisely, in both concentration and time, and the sensors should be suitable for measuring a wide variety of molecular markers. The developments in biomolecular monitoring have mainly focused on measuring high-concentration metabolites, such as glucose and lactate.[8,12,13] Due to their small size and high concentrations, the transport and detection of these biomolecules is fast. However, in the case of biomolecular markers at lower concentrations, fewer molecules are available and transport limitations become important.[22] Furthermore, biochemical reactions are slow at low concentrations,[23] generating time delays in the sensors and time-related errors in the concentration results. To understand and predict how real-time monitoring of biomolecules is limited by dynamic processes, we present a comprehensive methodology for studying affinity-based sensors that continuously interact with a time-dependent system of interest. Here, concentration changes, which are present in a system of interest, propagate into a monitoring sensor by diffusion-based sampling or advection-based sampling. We focus on sensing by biochemical affinity between binder molecules and analyte molecules since this is a very generic molecular mechanism for achieving specific and sensitive measurements. Frequency-dependent simulations are presented to clarify how concentration gradients and time delays are caused by mass transport processes and molecular binding kinetics. The results lead to relationships between sensor design parameters and measurable concentration change rates, time delays, and concentration errors. This will help researchers to design biomolecular sensors for optimal bioanalytical performance in terms of concentration and time properties.

Biomolecular Monitoring with Continuous Analyte Exchange

The conceptual layout of the monitoring arrangement is sketched in Figure . Figure a shows continuous analyte exchange between a biological or biotechnological system of interest and a measurement chamber. The system of interest exhibits dynamic changes of analyte concentration where the sensing aim is to achieve minimal differences between the true concentration–time profile Ca,0(t) and the measured concentration–time profile Ca,0m(t). The basic modeling approach is to study analyte concentrations that vary with a sinusoidal time dependence around a mean concentration valuewith C(t) being the oscillating concentration–time profile, C the mean concentration, ΔC the top-to-top amplitude of concentration change, f the oscillation frequency, and ϕ the phase. In the analysis, the concentration change ΔC is a small perturbation on the mean value C (a few percent). The advantage of studying sinusoidal functions is that concentration–time profiles of arbitrary shape can be reconstructed by frequency decomposition, as will be discussed later in this paper. Concentration symbols with subscript “a” refer to analyte concentrations: the analyte concentration–time profile in the system of interest is denoted by Ca,0(t), at the sensor surface by Ca(t), and the measured analyte concentration–time profile by Ca,0m(t). From the simulations in this paper, it will become apparent that the response of the monitoring system resembles a low-pass filter: at low frequencies, the measured and true concentration–time profiles are close to each other; however, at frequencies higher than a cutoff frequency fc , the measured concentration–time profile deviates from the true concentration–time profile, visible in the concentration change ΔC and in the lag time Δt that corresponds to the phase lag ϕ.
Figure 1

Conceptual layout of a biomolecular monitoring system with continuous analyte exchange. (a) Biomolecular monitoring system with continuous analyte exchange between a system of interest and a measurement chamber, where the system of interest exhibits a dynamic concentration–time profile Ca,0(t) (gray line), which results in a measured concentration–time profile Ca,0m(t) (orange line). Ideally, the measured concentration–time profile closely resembles the true concentration–time profile (dashed line vs solid line). The monitoring system can be mimicked by a low-pass filter with a cutoff frequency fc. The system of interest supplies an oscillating concentration–time profile Ca,0(t) with concentration change ΔCa,0, which leads to a measured concentration Ca,0m(t) with concentration change ΔCa,0m. A comparison of the true and measured concentration–time profiles (dashed line vs solid line) gives the system response in terms of the concentration change ratios and lag time Δt. (b) Geometry of the measurement chamber with height H, width W, and length L. The signal of the sensor is generated by an affinity reaction at the sensor surface, where analyte molecules (orange) associate with and dissociate from binder molecules (brown), of which the reaction rates are described by the association rate constant kon, the dissociation rate constant koff, the binder density Γb, the concentration–time profile Ca(t) at the sensor surface, and the analyte–binder complex density γab. Two modes of continuous analyte exchange are studied: analyte exchange by diffusion (top) and by advection (bottom). In the measurement chamber, mass transport by diffusion occurs in both x- and y-direction, caused by a concentration gradient (orange gradient) that results in a net molecular flux Ja, which scales with the diffusion coefficient D. Mass transport by advection occurs in the x-direction only, caused by a flow with mean flow velocity vm and flow rate Q. (c) Examples of how the sensor performance can differ for different sensor design parameter sets.

Conceptual layout of a biomolecular monitoring system with continuous analyte exchange. (a) Biomolecular monitoring system with continuous analyte exchange between a system of interest and a measurement chamber, where the system of interest exhibits a dynamic concentration–time profile Ca,0(t) (gray line), which results in a measured concentration–time profile Ca,0m(t) (orange line). Ideally, the measured concentration–time profile closely resembles the true concentration–time profile (dashed line vs solid line). The monitoring system can be mimicked by a low-pass filter with a cutoff frequency fc. The system of interest supplies an oscillating concentration–time profile Ca,0(t) with concentration change ΔCa,0, which leads to a measured concentration Ca,0m(t) with concentration change ΔCa,0m. A comparison of the true and measured concentration–time profiles (dashed line vs solid line) gives the system response in terms of the concentration change ratios and lag time Δt. (b) Geometry of the measurement chamber with height H, width W, and length L. The signal of the sensor is generated by an affinity reaction at the sensor surface, where analyte molecules (orange) associate with and dissociate from binder molecules (brown), of which the reaction rates are described by the association rate constant kon, the dissociation rate constant koff, the binder density Γb, the concentration–time profile Ca(t) at the sensor surface, and the analyte–binder complex density γab. Two modes of continuous analyte exchange are studied: analyte exchange by diffusion (top) and by advection (bottom). In the measurement chamber, mass transport by diffusion occurs in both x- and y-direction, caused by a concentration gradient (orange gradient) that results in a net molecular flux Ja, which scales with the diffusion coefficient D. Mass transport by advection occurs in the x-direction only, caused by a flow with mean flow velocity vm and flow rate Q. (c) Examples of how the sensor performance can differ for different sensor design parameter sets. The measurement chamber is assumed to be rectangular with height H, width W, and length L (see Figure b). The bottom surface of the measurement chamber is a sensor surface with affinity binder molecules (brown), where association and dissociation occur of the analyte molecules (orange). The association and dissociation rates depend on the association rate constant kon, the dissociation rate constant koff, the binder surface density Γb, the analyte concentration–time profile Ca(t) at the sensor surface, and the surface density of analyte–binder complexes γab. The binding of analyte molecules to binder molecules on the sensor surface causes γab to change as a function of time, resulting in a time-dependent signal, which relates to the oscillating analyte concentration Ca,0(t) in the system of interest (see Supplementary Note 1). We study two modes of continuous analyte exchange, namely, analyte exchange by diffusion only (top sketch) and analyte exchange by advection as well as diffusion (bottom sketch). Diffusion-based sampling applies to a sensor that is worn on the skin or that is fully embedded in a bioreactor, for example.[8−10] Advection-based sampling applies to a sensor that is connected to a patient via a catheter or that is connected to a bioreactor via a sampling line.[19−21] In the case of diffusion-based sampling, a net molecular flux Ja is caused by a concentration difference (orange gradient), facilitating mass transport between the system of interest and the measurement chamber. In the case of advection-based sampling, a laminar flow with flow rate Q facilitates mass transport between the system of interest and the measurement chamber. In the simulations, it is assumed that diffusion occurs in both the longitudinal (x-direction) and lateral directions (y-direction) and scales with the diffusion coefficient D. In the case of advective exchange, the diffusive transport is superposed onto the advective transport caused by a flow, of which the transport scales with the mean flow velocity vm and thus the flow rate Q. In this paper, different design parameters will be studied, which lead to different sensor performances, as exemplified in Figure c. Biomolecular monitoring applications differ widely in the analyte molecules that need to be measured, their concentrations, and their concentration change rates. Figure sketches an overview of analyte concentrations in blood (in M) and typical concentration change rates (CCRs, in M h–1) for biomedical monitoring applications such as diabetes (glucose and insulin),[12,13] organ failure (e.g., creatinine),[24,25] and inflammation (e.g., CRP, PCT, cytokines).[1−3,26,27] The CCRs were calculated by estimating characteristic concentration changes ΔCa,0 and typical fluctuation times tfluc (see Supplementary Note 2). For example, blood glucose concentrations vary between 4 and 8 mM in healthy persons, while for diabetic patients, the glucose level can increase to 10–15 mM and higher within a period of tfluc ∼ 30 min. This results in a typical maximum CCR of about 20 mM h–1. At the low end of the concentration scale, cytokine biomarker interleukin-6 (IL-6) is indicated. Physiological IL-6 concentrations are below 0.5 pM, while for patients with acute inflammatory stress, e.g., due to sepsis or due to cytokine release syndrome, the IL-6 concentration can increase to 10–100 pM and higher within a period of a few hours (tfluc ∼ 2 h). This results in a typical maximum CCR of about 30 pM h–1.
Figure 2

Typical concentration change rates (CCRs) and mean analyte concentrations Ca,0 for various analyte molecules in blood plasma. CCRs were calculated by estimating a characteristic concentration change ΔCa,0 and a corresponding characteristic fluctuation time tfluc (see Supplementary Note 2) based on reported concentration–time profiles in blood plasma. Abbreviations: IL-6 (interleukin-6), PCT (procalcitonin), and CRP (C-reactive protein). The black arrow indicates the standard parameter value for the mean analyte concentration Ca,0 as listed in Table .

Typical concentration change rates (CCRs) and mean analyte concentrations Ca,0 for various analyte molecules in blood plasma. CCRs were calculated by estimating a characteristic concentration change ΔCa,0 and a corresponding characteristic fluctuation time tfluc (see Supplementary Note 2) based on reported concentration–time profiles in blood plasma. Abbreviations: IL-6 (interleukin-6), PCT (procalcitonin), and CRP (C-reactive protein). The black arrow indicates the standard parameter value for the mean analyte concentration Ca,0 as listed in Table .
Table 1

Standard Parameter Values Used in the Finite-Element Simulationsa

 parametervaluedescription
inputH100 μmmeasurement chamber height
 L1 cmmeasurement chamber length
 W2 mmmeasurement chamber width
 D10–10 m2 s–1diffusion coefficient of the analyte molecule
 Q120 μL min–1flow rate
 koff10–2 s–1dissociation rate constant
 kon106 M–1 s–1association rate constant
 Ca,010 nMmean analyte concentration in the system of interest
    
derivedλ = L/H100aspect ratio of measurement chamber
 τD = H2/D100 scharacteristic diffusion time
 τA = HLW/Q1 scharacteristic advection time
 τR = (konCa,0 + koff)−150 scharacteristic reaction time
 Kd = koff/kon10 nMequilibrium dissociation constant
 ΔCa,0/Ca,00.05 (5%)relative concentration change
 2Damköhler number
 100longitudinal Péclet number
    

Details about the simulations are described in Supplementary Note 1.

In this paper, the dynamic response of sensors with different designs is characterized by two parameters: first, the lag time Δt of the sensor signal with respect to the input concentration (see Figure ), and second, the rate sensitivity, i.e., the minimum CCR that can be measured with an error of 10% (see Supplementary Note 5). We refer to this minimum CCR as the limit of quantification of CCR (LoCCR). In the next sections, we study how design parameters influence the lag time and rate sensitivity using standard parameter values as listed in Table . The sensor signal and its time characteristics are quantified by finite-element simulations to investigate the consequences of mass transport and reactions at the sensor surface. The rate sensitivity is quantified by calculating the stochastic variabilities in the number of analyte–binder complexes, for concentration–time profiles with varying concentration levels and CCRs. Details about the simulations are described in Supplementary Note 1.

Experimental Section

Finite-Element Analysis

Finite-element simulations were performed by solving diffusion, advection and reaction equations simultaneously using COMSOL (COMSOL Multiphysics 5.5) and MATLAB (MATLAB R2019a, COMSOL Multiphysics LiveLink for MATLAB) (see Supplementary Note 1). The LoCCR was reported at a distance L/2 in the measurement chamber (Figure b), where the signal was collected over a signal collection area As = 1 mm2 with a binder molecule density Γb = 10–9 mol m–2 (see Supplementary Note 5).

Frequency Analysis

The amplitude and the phase lag of the concentration at the sensor surface (Figures a and 4a,b), analyte–binder complex density (Figure b), and the measured concentration (Figures c and 4c) were calculated using the Fourier transform of its concentration/density profile. The calculated values were compared to the amplitude and the phase (i.e., ϕ = 0) of the input profile. The cutoff frequency was determined at the frequency where the observed amplitude was 50% of the input amplitude. The LoCCR was determined according to Supplementary Notes 2 and 5.
Figure 3

Response of a biomolecular monitoring system with continuous analyte exchange by diffusion-based sampling. (a) Frequency response when only diffusion is considered. Top graph: concentration change ΔCa at the sensor surface (normalized to the concentration change ΔCa,0 in the system of interest) as a function of the frequency f (normalized to the diffusion time τD). The diffusion-induced cutoff frequency f cD (horizontal dotted black line) is f cDτD ≅ 0.65 (vertical dotted black line). Bottom graph: lag time Δt (normalized to the diffusion time τD) as a function of f (normalized to the diffusion time τD). For large f, Δt scales as Δt ∝ 1/√f (dashed black line, see Supplementary Note 3). The inset shows the phase lag Δϕ as a function of f. The sketch above the graphs visualizes a measurement chamber with a concentration flux Ja caused by a concentration gradient (orange gradient). (b) Frequency response when only the surface reaction is considered. Top graph: analyte–binder complex density change Δγab (normalized to the expected analyte–binder complex density change Δγabexp, see Supplementary Note 4) as a function of f (normalized to the reaction time τR). The reaction-induced cutoff frequency f cR is f cRτD ≅ 0.27 (vertical dotted black line). Bottom graph: lag time Δt (normalized to the reaction time τR) as a function of f (normalized to the reaction time τR). For large f, Δt scales according to Δt ∝ 1/f (dashed black line, see Supplementary Note 3). The inset shows the phase lag Δϕ as a function of f, where Δϕ reaches a maximum negative value (see Supplementary Note 3). The sketch above the graphs visualizes a measurement chamber with an oscillating concentration Ca(t) at the sensor surface and a resulting oscillating analyte–binder complex density γab. (c) Cutoff frequency fc as a function of measurement chamber height H (top) and mean analyte concentration Ca,0 in the system of interest (bottom). Top graph: for small H, fc is reaction-limited, where fc = f cR ∼ 1/τR, while for large H, fc is diffusion-limited with fc = f cD ∼ 1/τD. The inset shows fc, normalized to the reaction time τR, as a function of the Damköhler number Da, with fc = f cD = α1/τD and α1 ≅ 0.65 (dashed black line, cf. panel a). Bottom graph: for low Ca,0, fc is reaction-limited and fc = f cR ∼ 1/τR, while for high Ca,0, fc is diffusion-limited with fc = f cD ∼ 1/τD. The inset shows fc, normalized to the diffusion time τD, as a function of Da with fc = f cR = α2/τD and α2 ≅ 0.27 (dashed black line, cf. panel b). Note that using standard parameter values as listed in Table , the full range of Da cannot be reached by only changing Ca,0 because τR becomes dissociation rate-limited when Ca,0 ≪ Kd (see Table ); therefore, koff was varied instead. The black arrows indicate standard parameter values as listed in Table .

Figure 4

Response of a biomolecular monitoring system with continuous analyte exchange by advection-based sampling. (a) Frequency response when only diffusion and advection are considered, for an advection-dominated sensor geometry with PeL = 100 (see Table ). Top graph: concentration change ΔCa at the sensor surface, normalized to the concentration change ΔCa,0 in the system of interest, as a function of the frequency f (normalized to the advection time τA), measured at the sensor surface at distance L/2 from the inlet (see also the sketch in panel b). The diffusion-induced cutoff frequency f D is taken from Figure a, and the advection-induced cutoff frequency f cA is found to be f cAτA ≅ 0.39 (vertical dotted black line) and roughly equals f cA = 100·f cD. Bottom graph: lag time Δt, normalized to τA, as a function of the frequency f, normalized to τA. For large f, Δt scales according to (black dashed line). (b) Cutoff frequency as a function of flow rate Q when only diffusion and advection are taken into account, measuring in the middle in the bulk of the measurement chamber at height H/2 (dark brown line) and at the sensor surface of the measurement chamber (orange line) both at distance L/2 from the inlet. For increasing Q, measuring in the bulk results in an advection-limited cutoff frequency (dashed black lines). The inset shows the same data with the observed cutoff frequency fc , normalized to the advection time τA, as a function of the longitudinal Péclet number PeL. For small PeL, fc for both bulk and surface measurements are comparable with fc = f cD. For increasing PeL, fc increases due to a higher flow rate, until the system becomes advection-limited. Measuring at the sensor surface results in a weaker dependency on τA than 1/τA. (c) Cutoff frequency fc as a function of chamber height H with a fixed chamber length L (top) and mean analyte concentration Ca,0 in the system of interest (bottom) for a sensor when diffusion, advection, and reaction are taken into account. Top graph: for small H, fc is reaction-limited where fc = f cR ∼ 1/τ, while for large H, fc is diffusion-limited with fc = f cD ∼ 1/τD. The inset shows the same data with the cutoff frequency fc, normalized to the reaction time τR, as a function of the Damköhler number. Bottom graph: for H = 100 μm (see Table ), the cutoff frequency is reaction-limited (top graph). Therefore, for low Ca,0, fc is dissociation rate-limited and fc = f c ∼ koff, while for high Ca,0, fc is association rate-limited with fc = f c ∼ konCa,0. The inset shows the same data with the cutoff frequency fc, normalized to the diffusion time τD, as a function of the Damköhler number. fc becomes diffusion-limited at Da ≫ 1 and reaches a plateau level larger than fcτD = 1 (cf. Figure c) since τD = H2/D, while the actual distance over which molecules decreases for increasing Q. Note that using the standard parameter values in Table , the full range of Da cannot be reached by only changing Ca,0 because τR becomes dissociation rate-limited when Ca,0 ≪ Kd (see Table ); therefore, koff was varied instead. The black arrows indicate standard parameter values as listed in Table .

Response of a biomolecular monitoring system with continuous analyte exchange by diffusion-based sampling. (a) Frequency response when only diffusion is considered. Top graph: concentration change ΔCa at the sensor surface (normalized to the concentration change ΔCa,0 in the system of interest) as a function of the frequency f (normalized to the diffusion time τD). The diffusion-induced cutoff frequency f cD (horizontal dotted black line) is f cDτD ≅ 0.65 (vertical dotted black line). Bottom graph: lag time Δt (normalized to the diffusion time τD) as a function of f (normalized to the diffusion time τD). For large f, Δt scales as Δt ∝ 1/√f (dashed black line, see Supplementary Note 3). The inset shows the phase lag Δϕ as a function of f. The sketch above the graphs visualizes a measurement chamber with a concentration flux Ja caused by a concentration gradient (orange gradient). (b) Frequency response when only the surface reaction is considered. Top graph: analyte–binder complex density change Δγab (normalized to the expected analyte–binder complex density change Δγabexp, see Supplementary Note 4) as a function of f (normalized to the reaction time τR). The reaction-induced cutoff frequency f cR is f cRτD ≅ 0.27 (vertical dotted black line). Bottom graph: lag time Δt (normalized to the reaction time τR) as a function of f (normalized to the reaction time τR). For large f, Δt scales according to Δt ∝ 1/f (dashed black line, see Supplementary Note 3). The inset shows the phase lag Δϕ as a function of f, where Δϕ reaches a maximum negative value (see Supplementary Note 3). The sketch above the graphs visualizes a measurement chamber with an oscillating concentration Ca(t) at the sensor surface and a resulting oscillating analyte–binder complex density γab. (c) Cutoff frequency fc as a function of measurement chamber height H (top) and mean analyte concentration Ca,0 in the system of interest (bottom). Top graph: for small H, fc is reaction-limited, where fc = f cR ∼ 1/τR, while for large H, fc is diffusion-limited with fc = f cD ∼ 1/τD. The inset shows fc, normalized to the reaction time τR, as a function of the Damköhler number Da, with fc = f cD = α1/τD and α1 ≅ 0.65 (dashed black line, cf. panel a). Bottom graph: for low Ca,0, fc is reaction-limited and fc = f cR ∼ 1/τR, while for high Ca,0, fc is diffusion-limited with fc = f cD ∼ 1/τD. The inset shows fc, normalized to the diffusion time τD, as a function of Da with fc = f cR = α2/τD and α2 ≅ 0.27 (dashed black line, cf. panel b). Note that using standard parameter values as listed in Table , the full range of Da cannot be reached by only changing Ca,0 because τR becomes dissociation rate-limited when Ca,0 ≪ Kd (see Table ); therefore, koff was varied instead. The black arrows indicate standard parameter values as listed in Table . Response of a biomolecular monitoring system with continuous analyte exchange by advection-based sampling. (a) Frequency response when only diffusion and advection are considered, for an advection-dominated sensor geometry with PeL = 100 (see Table ). Top graph: concentration change ΔCa at the sensor surface, normalized to the concentration change ΔCa,0 in the system of interest, as a function of the frequency f (normalized to the advection time τA), measured at the sensor surface at distance L/2 from the inlet (see also the sketch in panel b). The diffusion-induced cutoff frequency f D is taken from Figure a, and the advection-induced cutoff frequency f cA is found to be f cAτA ≅ 0.39 (vertical dotted black line) and roughly equals f cA = 100·f cD. Bottom graph: lag time Δt, normalized to τA, as a function of the frequency f, normalized to τA. For large f, Δt scales according to (black dashed line). (b) Cutoff frequency as a function of flow rate Q when only diffusion and advection are taken into account, measuring in the middle in the bulk of the measurement chamber at height H/2 (dark brown line) and at the sensor surface of the measurement chamber (orange line) both at distance L/2 from the inlet. For increasing Q, measuring in the bulk results in an advection-limited cutoff frequency (dashed black lines). The inset shows the same data with the observed cutoff frequency fc , normalized to the advection time τA, as a function of the longitudinal Péclet number PeL. For small PeL, fc for both bulk and surface measurements are comparable with fc = f cD. For increasing PeL, fc increases due to a higher flow rate, until the system becomes advection-limited. Measuring at the sensor surface results in a weaker dependency on τA than 1/τA. (c) Cutoff frequency fc as a function of chamber height H with a fixed chamber length L (top) and mean analyte concentration Ca,0 in the system of interest (bottom) for a sensor when diffusion, advection, and reaction are taken into account. Top graph: for small H, fc is reaction-limited where fc = f cR ∼ 1/τ, while for large H, fc is diffusion-limited with fc = f cD ∼ 1/τD. The inset shows the same data with the cutoff frequency fc, normalized to the reaction time τR, as a function of the Damköhler number. Bottom graph: for H = 100 μm (see Table ), the cutoff frequency is reaction-limited (top graph). Therefore, for low Ca,0, fc is dissociation rate-limited and fc = f c ∼ koff, while for high Ca,0, fc is association rate-limited with fc = f c ∼ konCa,0. The inset shows the same data with the cutoff frequency fc, normalized to the diffusion time τD, as a function of the Damköhler number. fc becomes diffusion-limited at Da ≫ 1 and reaches a plateau level larger than fcτD = 1 (cf. Figure c) since τD = H2/D, while the actual distance over which molecules decreases for increasing Q. Note that using the standard parameter values in Table , the full range of Da cannot be reached by only changing Ca,0 because τR becomes dissociation rate-limited when Ca,0 ≪ Kd (see Table ); therefore, koff was varied instead. The black arrows indicate standard parameter values as listed in Table .

Results and Discussion

Response of a Monitoring System with Diffusion-Based Sampling

First, we consider the case where the transport of analyte molecules between a system of interest and a sensor measurement chamber is governed by diffusion only. Figure shows how the analyte concentration at the sensor surface and the analyte–binder complex density respond to an oscillating concentration Ca,0(t) in the system of interest, with concentration change ΔCa,0 for various oscillation frequencies (see Supplementary Note 2). Figure a shows how diffusive mass transport influences the concentration profile Ca(t) at the sensor surface, by quantifying the concentration change ΔCa at the sensor surface (top, orange line, normalized to ΔCa,0), and the lag time Δt (bottom, orange line, normalized to the diffusion time τD), given as a function of f (normalized to the diffusion time τD). In the top graph, for small f, the concentration change ratio ΔCa/ΔCa,0 is close to unity, indicating that the concentration change at the sensor surface is approximately equal to the concentration change in the system of interest. Since the oscillation time 1/f is larger than τD, the analyte molecules are evenly distributed throughout the measurement chamber, i.e., there is no concentration gradient. For large f, ΔCa/ΔCa,0 decreases for increasing f, which means that the concentration change at the sensor surface is smaller than the concentration change in the system of interest. Since 1/f is now smaller than τD, a concentration gradient is present in the measurement chamber in the direction of H (see top sketch). This gradient results in dispersion of analyte molecules, which effectively reduces ΔCa. A characteristic parameter to describe this decrease in ΔCa/ΔCa,0 is the cutoff frequency fc , which is the frequency at which ΔCa/ΔCa,0 = 0.5 (horizontal dotted black line). In this case, the diffusion-induced cutoff frequency f cD is equal to f cDτD ≅ 0.65 (vertical dotted black line). The bottom graph shows that for f smaller than f cD, the observed lag time Δt is independent of f, since within a period of 1/f, analyte molecules can be transported throughout the measurement chamber by diffusion. This results in a homogeneous analyte concentration in the measurement chamber where Δt is only determined by diffusion (Δt ∼ τD). For f larger than f cD, a concentration gradient is present in the measurement chamber in the direction of H (see top sketch). Now Δt decreases according to Δt ∝ 1/√f (dashed black line, see Supplementary Note 3), concomitant with a reduction in ΔCa (top graph). The inset shows the phase lag Δϕ as a function of f. For increasing f, the absolute phase lag increases (Δϕ becomes more negative) due to the time needed for the transport of analyte molecules from the top of the measurement chamber to the sensor surface. For a large f, the concentration at the sensor surface can lag multiple cycles (Δϕ > 2π) with respect to the concentration in the system of interest (not shown here). Figure b shows how the association and dissociation of analyte molecules to binder molecules influence the measured signal. Mass transport effects are neglected and the concentration profile Ca(t) at the sensor surface oscillates with a frequency f. The top graph shows the change in analyte–binder complex density Δγab, normalized to the expected analyte–binder complex density change Δγabexp based on the concentration profile Ca(t) at the sensor surface (see Supplementary Note 4). The bottom graph shows the lag time Δt as a function of the frequency f (normalized to the reaction time τR). For small f, Δγab/Δγabexp is close to unity, indicating that the affinity reaction reaches equilibrium since the oscillation time 1/f is larger than the reaction time τR (see Table ). For a large f, Δγab/Δγabexp decreases, indicating that fewer analyte molecules bind to binder molecules on the sensor surface than expected based on Ca(t) under equilibrium conditions. This results in a reaction-induced cutoff frequency f cR, at f cRτR ≅ 0.27 (vertical dotted black line). For f smaller than f cR, Δt is largely independent of f. Now equilibrium is reached, causing the lag time to be determined by the time to equilibrium, i.e., Δt is reaction-limited (Δt ∼ τR). For f larger than f cR, Δt depends on f as Δt ∝ 1/f (dashed black line, see Supplementary Note 3). The inset shows the phase lag Δϕ as a function of f. For increasing f, the absolute phase lag increases (Δϕ becomes more negative) since fewer analyte–binder complexes are formed within a time 1/f. For large f, the phase lag reaches a minimum value of Δϕ = −π/2 (horizontal black dotted line) with respect to γabexp since the reaction rates are directly related to the analyte concentration Ca at the sensor surface and therefore the phase lag cannot be more negative (see Supplementary Note 3). Figure c shows the cutoff frequency fc as a function of the measurement chamber height H (top) and the mean analyte concentration Ca,0 in the system of interest (bottom, normalized to the equilibrium dissociation constant Kd) when both diffusion and reaction processes are considered. Standard values for the chamber height H and mean concentration Ca,0 are indicated by the black arrows (see Table ). For small H, the diffusion time τD is short since analyte molecules only need to travel a short distance from the top of the measurement chamber to the sensor surface. This causes the observed cutoff frequency fc to be reaction-limited where fc = f cR ∼ 1/τR. For large H, analyte molecules need to travel a long distance, which causes fc to be diffusion-limited where fc = f cD ∼ 1/τD. For small Ca,0, the reaction is slow since the reaction time τR is determined by the dissociation rate (see Table ), causing fc to be reaction-limited. For large Ca,0, τR is short since the reaction time τR is determined by the association rate, causing fc to be diffusion-limited. The insets show fc (normalized to the reaction time τR) as a function of the Damköhler number Da (see Table ). Da is a dimensionless parameter describing the relative contribution of reaction and diffusion to the observed time scale (for Da ≫ 1, diffusion is slow relative to reaction; for Da ≪ 1, reaction is slow relative to diffusion). For a high Da, the cutoff frequency is diffusion-limited, while for a low Da, the cutoff frequency is reaction-limited.

Response of a Monitoring System with Advection-Based Sampling

Figure shows how dynamic concentration changes generate signals in a monitoring sensor based on advective sampling, i.e., sampling dominated by flow. Figure a visualizes how diffusion and advection jointly influence the concentration profile Ca(t) at the sensor surface. The concentration change ΔCa at the sensor surface (top, orange line, normalized to concentration change ΔCa,0 in the system of interest) and the lag time Δt (bottom, orange line, normalized to the advection time τA) are given as a function of the oscillation frequency f (normalized to τA) of the analyte concentration Ca,0 in the system of interest. Here, a longitudinal Péclet number PeL = τD/τA = 100 was assumed (see Table ), where PeL describes the relative contribution of diffusion and advection to the transport process (for PeL ≫ 1, diffusion is slow relative to advection; for PeL ≪ 1, advection is slow relative to diffusion). In the top graph, for small f, ΔCa/ΔCa,0 equals unity, indicating that the concentration is evenly distributed throughout the measurement chamber. For a large f, ΔCa/ΔCa,0 decreases, which indicates a concentration gradient in the measurement chamber perpendicular to the velocity profile. This results in an advection-induced cutoff frequency f cA (horizontal dotted black line), which can be found at f cAτA ≅ 0.39 (vertical dotted black line). Note that the advection-induced cutoff frequency roughly equals f cA = 100·f cD since PeL = 100, where f cD is the cutoff frequency for a monitoring system with diffusion-based sampling (cf.Figure ). In the bottom graph, for a small f, the observed lag time Δt of the concentration at the sensor surface compared to the concentration in the system of interest is largely independent of f since the analyte concentration is homogeneous in the measurement chamber, causing the lag time to be advection-limited (Δt ∼ τA). For f larger than f cA, a concentration gradient is present in the measurement chamber, causing a loss in ΔCa due to dispersion of the analyte molecules. Here, Δt depends less on the frequency f (, dashed black line) compared to Figure a,b since the observed time lag is caused by both advection and diffusion, where the contribution of advection is independent of f (see Supplementary Note 3). Furthermore, diffusion occurs on a length scale smaller than H, reducing its contribution to the frequency dependency. The inset shows the same data visualized as the phase lag Δϕ as a function of f. For increasing f, the absolute phase lag increases (Δϕ becomes more negative) due to the time needed to transport analyte molecules from the bulk of the measurement chamber to the sensor surface. For large f, Ca(t) can lag for multiple cycles with respect to Ca,0(t) (not shown here), though ΔCa decreases sharply due to dispersion for f > f cA (see top graph). Figure b visualizes cutoff frequency fc as a function of flow rate Q measured at two positions, namely, in the bulk of the measurement chamber (position 1, dark brown line) and at the surface of the measurement chamber (position 2, orange line). The black arrow indicates the standard parameter value for Q as listed in Table . The inset shows the same data with fc (normalized to τA) as a function of PeL. For a small Q, there is a concentration gradient in the longitudinal direction since the distance over which molecules need to diffuse to the sensor surface is smaller compared to the situation in Figure . This results in an advection-limiting process at PeL < 1 with a constant fc. For increasing Q, the observed fc becomes different when measuring in the bulk or at the sensor surface. For measuring in the bulk, an increased Q results in a change of the shape of the concentration gradient, namely, perpendicular to the velocity profile (top sketch, dashed black profile) instead of in the longitudinal direction. The flow rate where fc becomes advection-limited depends on the measurement chamber geometry: for a small L, fc is advection-limited at small flow rates since the distance over which molecules need to be transported is small. For measuring at the sensor surface, the stationary layer becomes smaller for increasing Q effectively decreasing the distance over which the molecules need to diffuse to the sensor surface. This effect results in fc scaling with the advection time less than 1/τA (see the main graph, dashed black lines) and that the normalized cutoff frequency fc decreases (see inset). Figure c visualizes the cutoff frequency fc as a function of the flow rate Q (top) and the mean analyte concentration Ca,0 in the system of interest (bottom), where diffusion, advection, and reaction are included. Standard values for the flow rate Q and mean concentration Ca,0 are indicated by the black arrows (see Table ). In the top graph, for a low Q, the cutoff frequency is advection-limited, where fc = f cA ∼ 1/τA. For a large Q, the cutoff frequency is limited by a combination of diffusion and reaction. The inset shows the same data with fc (normalized to the advection time τA) as a function of PeL. In the bottom graph, for a low Ca,0, the reaction is slow, which causes the observed cutoff frequency fc to be dissociation rate-limited, where fc = f cR ∼ koff. For a large Ca,0, the reaction is association rate-limited, where fc = f cR ∼ konCa,0. The inset shows the same data with fc (normalized to the diffusion time τD) as a function of the Damköhler number Da. For a small Da, the cutoff frequency is reaction-limited (dashed black line). For a large Da, the cutoff frequency becomes diffusion-limited.

Continuous Biomolecular Monitoring for Arbitrary Concentration Profiles

The measured concentration profile of a monitoring sensor should resemble as closely as possible the true concentration profile of the analyte. While Figures and 4 discussed the effects of diffusion, advection, and reaction on the cutoff frequency and lag time, the question remains how these processes influence an actual concentration profile and the differences between the measured and the true concentration profiles. Here, we study an insulin concentration profile with standard parameter values listed in Table as an example (see Supplementary Note 6). In this paper, the rate sensitivity is quantified as the limit of quantification of CCR (LoCCR), i.e., the smallest CCR that can be measured with an error of 10% (see Supplementary Note 5). The LoCCR is calculated assuming a sensor with noise that is dominated by Poisson statistics, with a signal collection area As = 1 mm2, and a binder density Γb = 10–9 mol m–2. Poisson noise represents the fundamental limit of the precision that can be achieved in a biosensor due to stochastic fluctuations in the number of detected analyte molecules.[28,29] Figure shows the collective influence of diffusion, advection, and reaction on LoCCR and the measured concentration profile, for different measurement chamber heights H (in the case of diffusion-based analyte exchange) and for different flow rates Q (in the case of advection-based analyte exchange). Figure a shows LoCCR as a function of frequency f, for diffusion-based sampling (top) and advection-based sampling (bottom). The top graph shows results for measurement chamber heights H = 200 μm (dark brown) and H = 800 μm (orange). For a low f, LoCCR equals the value found for Poisson noise only (dashed black line, see also Supplementary Note 5), which is due to the fact that the sensor reaches equilibrium and no dispersion occurs (cf. Figure ). For increasing f, the results depend on the measurement chamber height because a small H gives a larger cutoff frequency (see Figure c). Here, both lines deviate from the Poisson limit since equilibrium is not reached within a time equal to 1/f, resulting in fewer analyte–binder complexes. The inset shows the same data with the minimum concentration change ΔCa,0 that can be quantified with an error of less than 10% as a function of frequency f. The bottom graph shows advection-based sampling with flow rates Q = 10 μL/min (dark brown) and Q = 0.1 μL/min (orange).[30−32] Here, the lines deviate from the Poisson limit at higher frequencies compared to diffusion-based sampling since the cutoff frequency is higher in advection-based sampling compared to diffusion-based sampling (see Figures c and 4c). The inset shows the same data with the minimum concentration change ΔCa,0 that can be quantified with an error of less than 10% as a function of frequency f.
Figure 5

Measuring concentration-time profiles using two modes of continuous analyte exchange. (a) Limit of quantification of CCR (LoCCR) as a function of frequency f in a monitoring system with continuous analyte exchange by diffusion-based sampling (top) and by advection-based sampling (bottom). The insets show the same data with the concentration change ΔCa,0 as a function of f. For a low f, the precision of the CCR is limited by Poisson noise (dashed black line). For increasing f, the lines start to deviate since the frequencies become higher than the corresponding cutoff frequencies. (b) Concentration-time profiles for a measurement chamber height H = 200 μm (brown line) and H = 800 μm (orange line), and the true analyte concentration (black dotted line), for diffusion-based analyte exchange. The bottom graphs show the frequency spectrum with the CCR component as a function of frequency. For a small H, the concentration-time profile closely resembles the true concentration-time profiles. However, for a large H, the similarity is only visible at low frequencies; at high frequencies, the measured CCR is close to 0, indicating that sinusoidal components with these frequencies are not present in the measured signal. (c) Concentration-time profiles for a measurement chamber with flow rate Q = 10 μL/min (brown line) and Q = 0.1 μL/min (orange line), and the true analyte concentration (black dotted line, behind the brown line), for advection-based analyte exchange. The bottom shows the frequency spectrum. For both flow rates, the concentration-time profile closely resembles the true concentration-time profile. (d, e) LoCCR as a function of f and the corresponding concentration-time profiles for diffusion-based analyte exchange (d) and advection-based analyte exchange (e), where koff = 10–3 s–1 (compared to koff = 10–2 s–1 in panels (a) and (b), see Table ). Due to higher cutoff frequencies, the similarity of the measured concentration-time profiles is less compared to panels (b) and (c).

Measuring concentration-time profiles using two modes of continuous analyte exchange. (a) Limit of quantification of CCR (LoCCR) as a function of frequency f in a monitoring system with continuous analyte exchange by diffusion-based sampling (top) and by advection-based sampling (bottom). The insets show the same data with the concentration change ΔCa,0 as a function of f. For a low f, the precision of the CCR is limited by Poisson noise (dashed black line). For increasing f, the lines start to deviate since the frequencies become higher than the corresponding cutoff frequencies. (b) Concentration-time profiles for a measurement chamber height H = 200 μm (brown line) and H = 800 μm (orange line), and the true analyte concentration (black dotted line), for diffusion-based analyte exchange. The bottom graphs show the frequency spectrum with the CCR component as a function of frequency. For a small H, the concentration-time profile closely resembles the true concentration-time profiles. However, for a large H, the similarity is only visible at low frequencies; at high frequencies, the measured CCR is close to 0, indicating that sinusoidal components with these frequencies are not present in the measured signal. (c) Concentration-time profiles for a measurement chamber with flow rate Q = 10 μL/min (brown line) and Q = 0.1 μL/min (orange line), and the true analyte concentration (black dotted line, behind the brown line), for advection-based analyte exchange. The bottom shows the frequency spectrum. For both flow rates, the concentration-time profile closely resembles the true concentration-time profile. (d, e) LoCCR as a function of f and the corresponding concentration-time profiles for diffusion-based analyte exchange (d) and advection-based analyte exchange (e), where koff = 10–3 s–1 (compared to koff = 10–2 s–1 in panels (a) and (b), see Table ). Due to higher cutoff frequencies, the similarity of the measured concentration-time profiles is less compared to panels (b) and (c). Figure b shows a typical insulin profile (dotted black line) and corresponding measured insulin profiles, using diffusion-based analyte exchange and the standard parameter values listed in Table . The bottom graphs show the frequency spectrum of the true and measured insulin profiles plotted as CCR components (see Supplementary Note 2). For H = 200 μm (brown line), the measured concentration profile is almost identical to the true concentration profile since the cutoff frequency fc = 9 × 10–4 Hz (see Figure c) is higher than the frequencies present in the true insulin profile (see bottom graphs, left). For H = 800 μm (orange line), the true concentration profile cannot be accurately reconstructed, only the general up-and-down trend at a 6-hour interval, since the cutoff frequency fc = 1 × 10–4 Hz (see Figure c) is close to the frequencies in the insulin profile (see bottom graphs, right). Also, the average lag time Δt of the measured signal is smaller for H = 200 μm than for H = 800 μm since a smaller distance requires less time for diffusion. Figure c shows the results for advection-based analyte exchange, for flow rates Q = 10 μL/min (dark brown) and Q = 0.1 μL/min (orange). In both cases, the measured insulin profile is similar to the true insulin profile since the cutoff frequencies are fc = 7 × 10–3 Hz and fc = 8 × 10–4 Hz, respectively (see Figure c, top). The strong similarities are also visible in the frequency spectrum (bottom panel). Figure d,e investigates the limits of dynamic monitoring when affinity binders with very high affinity are used, i.e., binders with a very low dissociation rate constant (koff = 10–3 s–1), which is relevant to study when low-concentration analytes need to be measured. Figure d shows simulation results for diffusion-based sampling. The data show that the lower dissociation rate constant causes a lower cutoff frequency, a longer lag time, and a higher LoCCR (see Supplementary Note 5). The reversibility of the sensor is worse, particularly for a large measurement chamber height (H = 800 μm) because the large volume of the measurement chamber contains many analyte molecules. Figure e shows results for advection-based sampling. The flow rate increases the rate of exchange of the large volume above the sensor surface. A flow rate as low as 0.1 μL/min already significantly improves the dynamic performance of the sensor. A flow rate of 10 μL/min gives small differences between the measured and real concentrations with a lag time that is very close to 1/koff = 1/(10–3 s–1) = 17 min.

Conclusions

To measure in real time the dynamic changes of biomolecular concentrations in biological systems or biotechnological processes, monitoring sensors are required that reveal reliable concentration–time profiles. We have studied the influence of sensor design parameters on the differences between the true and the measured concentration–time profile, focusing on the lag time of the sensor signal with respect to the input concentration and on the rate sensitivity. To quantify a rate sensitivity, we introduced the concept of concentration change rate (CCR), which is expressed in the units molar per second. The CCR that needs to be resolved differs strongly between different biomolecular monitoring applications, due to their respective concentration changes and fluctuation times. The limit of the measurable concentration change rate was evaluated as the limit of CCR (LoCCR), i.e., the lowest CCR that can be quantified with a precision of 10%. In this work, we have presented a comprehensive methodology to study the properties and limitations of dynamic measurements using affinity-based sensors, as these represent a very generic and broad class of bioanalytical measurement techniques. Analyte exchange was considered between the system of interest and the sensor by diffusive as well as advective sampling. Finite-element simulations were used to describe the spatial and temporal dependency of analyte concentration within the measurement chamber. Sinusoidal concentration–time profiles were studied as well as arbitrary concentration–time profiles by frequency decomposition. Using this approach, the effects of mass transport and biochemical kinetics on the speed of concentration change, time delays, and concentration errors in the sensing system were studied. The study of sensor performance was exemplified for insulin monitoring. The results show that diffusion-based sampling performs equal to advection-based sampling in reconstructing the concentration–time profile for small heights of the measurement chamber (<200 μm). However, for larger heights, diffusion-based sampling causes an increased lag time and decreased CCR sensitivity. A monitoring system with advection-based sampling performs similarly with respect to the CCR sensitivity for flow rates down to ∼0.1 μL min–1, while the lag time is larger for low flow rates. For low concentrations of biomolecules, fewer molecules are available for the detection and therefore continuous monitoring sensors with single-molecule resolution are suitable because these sensors can have Poisson-limited noise levels and therefore a high detection sensitivity. In the case of binder molecules with a high affinity (koff = 10–3 s–1), the analytical performance deteriorates for diffusion-based sampling, but not for advection-based sampling with flow rates of 10 μL min–1 and higher, allowing the measurement of all CCR components present in an insulin concentration–time profile. The results and learnings presented in this paper can assist researchers to identify the most important processes influencing the performance of continuous monitoring sensors. As a next step, it will be interesting to compare the simulation results to experimental data, for example, on how concentration–time profiles with different frequency components affect the observed signals. Insights into the individual and combined influence of analyte diffusivity, analyte concentration, binder affinity, sampling method, measurement chamber geometry, and flow speed on the observed lag time and rate sensitivity of the measured concentration–time profile will help researchers to develop monitoring systems with desirable sensor characteristics for a diverse range of biomarkers and applications.
  28 in total

Review 1.  Wearable biosensors for healthcare monitoring.

Authors:  Jayoung Kim; Alan S Campbell; Berta Esteban-Fernández de Ávila; Joseph Wang
Journal:  Nat Biotechnol       Date:  2019-02-25       Impact factor: 54.908

Review 2.  Wearable sensors: modalities, challenges, and prospects.

Authors:  J Heikenfeld; A Jajack; J Rogers; P Gutruf; L Tian; T Pan; R Li; M Khine; J Kim; J Wang; J Kim
Journal:  Lab Chip       Date:  2018-01-16       Impact factor: 6.799

Review 3.  Accessing analytes in biofluids for peripheral biochemical monitoring.

Authors:  Jason Heikenfeld; Andrew Jajack; Benjamin Feldman; Steve W Granger; Supriya Gaitonde; Gavi Begtrup; Benjamin A Katchman
Journal:  Nat Biotechnol       Date:  2019-02-25       Impact factor: 54.908

4.  Multisensor-integrated organs-on-chips platform for automated and continual in situ monitoring of organoid behaviors.

Authors:  Yu Shrike Zhang; Julio Aleman; Su Ryon Shin; Tugba Kilic; Duckjin Kim; Seyed Ali Mousavi Shaegh; Solange Massa; Reza Riahi; Sukyoung Chae; Ning Hu; Huseyin Avci; Weijia Zhang; Antonia Silvestri; Amir Sanati Nezhad; Ahmad Manbohi; Fabio De Ferrari; Alessandro Polini; Giovanni Calzone; Noor Shaikh; Parissa Alerasool; Erica Budina; Jian Kang; Nupura Bhise; João Ribas; Adel Pourmand; Aleksander Skardal; Thomas Shupe; Colin E Bishop; Mehmet Remzi Dokmeci; Anthony Atala; Ali Khademhosseini
Journal:  Proc Natl Acad Sci U S A       Date:  2017-03-06       Impact factor: 11.205

Review 5.  Technology outlook for real-time quality attribute and process parameter monitoring in biopharmaceutical development-A review.

Authors:  Dhanuka P Wasalathanthri; Matthew S Rehmann; Yuanli Song; Yan Gu; Luo Mi; Chun Shao; Letha Chemmalil; Jongchan Lee; Sanchayita Ghose; Michael C Borys; Julia Ding; Zheng Jian Li
Journal:  Biotechnol Bioeng       Date:  2020-07-01       Impact factor: 4.530

6.  Clinical translation of microfluidic sensor devices: focus on calibration and analytical robustness.

Authors:  Sally A N Gowers; Michelle L Rogers; Marsilea A Booth; Chi L Leong; Isabelle C Samper; Tonghathai Phairatana; Sharon L Jewell; Clemens Pahl; Anthony J Strong; Martyn G Boutelle
Journal:  Lab Chip       Date:  2019-07-10       Impact factor: 6.799

Review 7.  Update on procalcitonin measurements.

Authors:  Michael Meisner
Journal:  Ann Lab Med       Date:  2014-06-19       Impact factor: 3.464

8.  Monitoring biomolecule concentrations in tissue using a wearable droplet microfluidic-based sensor.

Authors:  Adrian M Nightingale; Chi Leng Leong; Rachel A Burnish; Sammer-Ul Hassan; Yu Zhang; Geraldine F Clough; Martyn G Boutelle; David Voegeli; Xize Niu
Journal:  Nat Commun       Date:  2019-06-21       Impact factor: 14.919

9.  How Reactivity Variability of Biofunctionalized Particles Is Determined by Superpositional Heterogeneities.

Authors:  Rafiq M Lubken; Arthur M de Jong; Menno W J Prins
Journal:  ACS Nano       Date:  2021-01-04       Impact factor: 15.881

Review 10.  New closed-loop insulin systems.

Authors:  Charlotte K Boughton; Roman Hovorka
Journal:  Diabetologia       Date:  2021-02-06       Impact factor: 10.122

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